Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $2,987.00 / $6,915.00	Facility		$181.52	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $175.82 / $315.54	Professional		$107.02	$175.82	$315.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $224.19 / $359.27	Professional		$134.60	$224.19	$359.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.68 / $218.68 / $218.68	Facility		$218.68	$218.68	$218.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $98.68 / $98.68	Professional		$98.68	$98.68	$98.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $174.85 / $625.00	Facility		$129.22	$174.85	$625.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $206.02 / $361.36	Professional		$121.93	$206.02	$361.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.60 / $196.78 / $299.44	Professional		$122.60	$196.78	$299.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $317.60 / $474.50	Professional		$5.00	$317.60	$474.50
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $220.53 / $371.20	Professional		$157.38	$220.53	$371.20